Individual
NANCY CHRISTINE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
225 SMITH AVE N, SUITE 400, SAINT PAUL, MN 55102-2533
(651) 290-0133
Mailing address
225 SMITH AVE N, SUITE 400, SAINT PAUL, MN 55102-2533
(651) 290-0133
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ANCC20233321
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP0778
MN
363LA2200X
Adult Health Nurse Practitioner
RNRO764812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255460700
—
MN
01
—
43993300
WISCONSIN MEDICAID
WI
Enumeration date
09/20/2006
Last updated
09/27/2015
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